Autumn Leaves Assisted Living, Personal Care& Residential Care Homes of Leon Valley

    6411 Ridge Pl St, San Antonio, TX, 78250
    2.8 · 9 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    1.0

    Unsafe, mismanaged, overcrowded nursing home

    I want to be blunt: I liked the friendly staff, decent food, comfortable bedroom, and that the owner is an RN who helps with medical questions. But overall I would not trust this place with a loved one - communication is poor, transfers happen without notice, records and diagnoses are inconsistent, and I witnessed signs of medical mismanagement (questionable anticoagulant use, sudden extreme blood sugar, and a resident who ended up in the ICU). Staffing is unstable and often unqualified, rooms are overcrowded (three per room, mixed-gender, even a converted garage), there are no activities, early bedtimes, missing personal items, hygiene and cost-cutting issues - not a safe, transparent environment.

    Pricing

    Schedule a Tour

    Amenities

    2.78 · 9 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.2
    • Staff

      2.4
    • Meals

      3.0
    • Amenities

      1.5
    • Value

      1.0

    Pros

    • Clean homes reported by some reviewers
    • Comfortable bedrooms for some residents
    • Respectful and pleasant staff mentioned in several reviews
    • Staff assist with transportation to doctor appointments
    • Owner is a registered nurse / RN background
    • RN background reportedly helped diagnose a medical issue
    • Some families very satisfied (high ratings, “5s across the board”)
    • 24/7 care claimed by at least one reviewer
    • Generally positive comments about the food from some residents

    Cons

    • Poor communication with families
    • Unnotified transfer of a resident
    • Allegations of medical mismanagement
    • Use of high-risk anticoagulant (Eliquis) in a vulnerable patient
    • Reported resident hospitalization and death in ICU
    • Inconsistent or conflicting medical records/diagnoses
    • Severe sudden high blood sugar reported (e.g., 500)
    • Loss or misplacement of personal items (eyeglasses)
    • Lack of transparency from management
    • No companion suites or one-bedroom apartments
    • Mixed-gender shared rooms
    • Three residents per room / overcrowding
    • Non-traditional spaces used as rooms (garage conversion)
    • High staff turnover
    • Staff lacking certified nursing aide credentials
    • No activities observed (reported over multi-year period)
    • Smoking area located on the property (backyard)
    • Residents left unattended at times
    • Dinners outsourced to another home (possible cost-cutting)
    • Staff are often friends or family of owners (nepotism concerns)
    • Owner RN does not reside onsite
    • Perceived cost-cutting practices affecting care
    • Early/very early bedtimes for residents (4–5 PM)
    • Hygiene products lacking or insufficient
    • Personal items being used by other residents
    • Poor first impressions or exterior upkeep (overgrown yard)

    Summary review

    Overall sentiment across the reviews is mixed but leans toward serious concern in several key areas. A minority of reviewers reported a positive experience: clean living spaces, comfortable bedrooms, respectful and pleasant staff, reliable transportation to medical appointments, satisfactory food, and the presence of an owner with an RN background who provides 24/7 care and has reportedly helped diagnose medical issues. These positive reports include some families giving top ratings and expressing confidence in care.

    However, a substantial portion of reviews raise multiple critical issues about safety, medical management, staffing, facility layout, and transparency. Medical-care concerns are among the most severe themes: reviewers report alleged mismanagement (including use of the anticoagulant Eliquis in a high-risk patient), inconsistent medical records and diagnoses, an instance of extremely high reported blood sugar (500), an unnotified transfer to a hospital, and at least one case where a resident ended up in the ICU and died. These kinds of reports indicate potential lapses in medication oversight, monitoring of chronic conditions, documentation, and communication with families.

    Staffing and management practices appear to be another major area of inconsistency. Many reviews cite high staff turnover and staff who lack formal certified nursing aide credentials. Some positive comments note pleasant staff and an RN owner, but other reviewers state the RN owner does not live onsite and that day-to-day staffing includes friends and family—raising concerns about training, professionalism, and accountability. Several reviewers explicitly described cost-cutting behaviors (outsourcing dinners to another home, using unqualified staff) that could affect care quality and resident well-being.

    Facility layout, capacity, and daily-life conditions are also recurring concerns. Multiple reviewers describe overcrowded rooms (three residents in one room), mixed-gender shared rooms, and even a garage converted into a living room—conditions that may reduce privacy and increase safety risks. Some reviewers noted a smoking area in the backyard, early bedtimes (4–5 PM), and a lack of organized activities (one report states no activities observed over a three-year period). At the same time, a few reviewers praised the living environment and comfort, indicating variance in how different homes or even different rooms are managed.

    Safety, possessions, and basic supplies are additional problem areas in the negative reviews. Reported incidents include residents being left unattended, loss or misuse of personal items such as eyeglasses, items being used by other residents, and shortages of hygiene products. Exterior maintenance and first impressions were also criticized by some (overgrown front yard, poor curb appeal), while others found homes clean and well-maintained—again reflecting mixed experiences.

    In summary, the reviews paint a polarized picture: there are genuine positives (cleanliness in some homes, respectful staff, RN ownership and occasional good medical judgment, satisfactory food, and proactive transportation to appointments), but these are overshadowed for many reviewers by systemic issues that could compromise resident safety and quality of life. Recurrent themes—medical management concerns, opaque or poor communication with families, high staff turnover and limited staff qualifications, overcrowded or improvised living spaces, lack of activities, and cost-saving practices that may impair care—are significant and merit careful scrutiny.

    For prospective residents and families, the pattern suggests due diligence is essential: verify staff qualifications and turnover rates, ask to see policies on medication administration and emergency transfers, review recent inspection or licensing reports, confirm room configurations and roommate policies, request written communication protocols, and speak directly with several current families about daily routines and activities. The mixed nature of the reviews means some homes/staff may provide good care, but multiple reports of serious medical and safety issues indicate risk that should be investigated before placement.

    Location

    Map showing location of Autumn Leaves Assisted Living, Personal Care& Residential Care Homes of Leon Valley

    About Autumn Leaves Assisted Living, Personal Care& Residential Care Homes of Leon Valley

    Autumn Leaves Assisted Living, Personal Care & Residential Care Homes of Leon Valley sits in San Antonio, Texas, and serves older adults who need help with daily tasks, so folks will see amenities that help people stay comfortable and well cared for, and the staff tailors support to match each person's unique needs, which means residents can keep their dignity while getting the assistance they need every day. The community offers several types of care, including assisted living, personal care, residential care homes, and special memory care services for people with Alzheimer's or dementia, and you'll find secure areas for those who need a bit more safety. The facility tries to keep life comfortable with features designed for seniors, and there's a focus on fostering social connections, so seniors have chances to spend time with others and feel less alone. Residents receive care that promotes independence while making sure help is there when needed, and the whole place is planned around supporting seniors' well-being, whether someone's looking for an assisted living setup or needs more nursing care, with monthly prices running between $5,208 and $6,692 depending on the level of services. Autumn Leaves works with the Autumn Leaves Residential Home Care at 6411 Ridge Place St. too, and it's recognized for providing these ranges of support in the greater San Antonio area.

    People often ask...

    Nearby Communities

    • Exterior view of Belmont Village Senior Living West Lake Hills building with a covered entrance, stone and beige facade, trees, and a partly cloudy blue sky.
      $8,000+4.4 (117)
      1 Bedroom
      independent, assisted living, memory care

      Belmont Village Senior Living West Lake Hills

      4310 Bee Caves Rd, West Lake Hills, TX, 78746
    • Exterior view of a single-story brick building with a covered entrance, surrounded by landscaped greenery and trees under a blue sky with scattered clouds.
      $2,625 – $3,050+3.9 (110)
      Studio • 1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      Truewood by Merrill, River Park

      3201 River Park Drive, Fort Worth, TX, 76116
    • Exterior view of Texas Star Assisted Living facility showing a stone sign with the facility name and a building entrance with stone pillars and a covered driveway under a clear blue sky.
      $4,450 – $5,025+4.3 (76)
      Semi-private • Studio
      independent, assisted living, memory care

      Vitality Court Texas Star

      650 S Greenville Ave, Allen, TX, 75002
    • Exterior view of Amber Lights senior living community with a large sign displaying the name and address, surrounded by landscaped greenery, palm trees, and desert plants under a clear blue sky.
      $3,530+3.8 (57)
      1 Bedroom
      independent living, assisted living

      Amber Lights

      6231 N Montebella Rd, Tucson, AZ, 85704
    • Front exterior view of the American House Town and Country senior living facility with a circular driveway, landscaped greenery, and an American flag on a flagpole under a wooden entrance canopy.
      $5,000+3.9 (61)
      suite
      assisted living, memory care

      American House Town and Country

      1020 Woods Mill Rd, Town and Country, MO, 63017
    • Exterior view of McDowell Village senior living facility showing a building with a covered entrance supported by brick columns, surrounded by palm trees, colorful flower beds, and well-maintained landscaping under a clear blue sky.
      $5,200 – $6,500+4.7 (107)
      1 Bedroom • 2 Bedroom
      independent living, assisted living

      McDowell Village

      8300 East McDowell Road, Scottsdale, AZ, 85257

    Assisted Living in Nearby Cities

    1. 157 facilities$3,914/mo
    2. 44 facilities$3,841/mo
    3. 182 facilities$3,891/mo
    4. 43 facilities$3,715/mo
    5. 28 facilities$4,724/mo
    6. 136 facilities$4,322/mo
    7. 205 facilities$4,170/mo
    8. 23 facilities$4,690/mo
    9. 139 facilities$3,775/mo
    10. 20 facilities$4,803/mo
    11. 134 facilities$3,910/mo
    12. 114 facilities$4,410/mo
    © 2025 Mirador Living